Missed opportunities for diagnosis of female genital mutilation

Abdulcadir, Jasmine; Dugerdil, Adeline; Boulvain, Michel; Yaron, Michal; Margairaz, C.; Irion, Olivier; Petignat, Patrick

doi:10.1016/j.ijgo.2013.11.016

Cited by 37 publications

(40 citation statements)

References 16 publications

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“…Healthcare providers that work with women with FGM in the diaspora or in countries where FGM is ritual can present similarities, such as the difficulty in recognizing and classifying FGM [19], but also differences and specific characteristics to be expressly addressed, such as the problem of medicalization in some African countries or the religious and cultural differences between Western caregivers and migrant patients. The study in Mali in fact, found that, before training, 35 % of the caregivers thought that FGM does not have health risks if performed in a safe environment [11].…”

Section: Discussionmentioning

confidence: 99%

“…The study in Mali in fact, found that, before training, 35 % of the caregivers thought that FGM does not have health risks if performed in a safe environment [11]. Healthcare workers in low prevalence settings may be unfamiliar with cultural issues explaining the persistence of the practice or, could find it difficult or uncomfortable to ask about it because of the fear of embarrassing or causing distress to their patient [19]. …”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Interventions for healthcare providers to improve treatment and prevention of female genital mutilation: a systematic review

Balfour

Abdulcadir

Say

et al. 2016

BMC Health Serv Res

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BackgroundStudies on healthcare providers’ awareness, knowledge and attitudes regarding female genital mutilation (FGM) have shown a lack of awareness of the prevalence, diagnosis, and management of FGM. Our objective was to systematically review the literature on interventions improving healthcare providers’ capacities of prevention and treatment of FGM.MethodsSystematic review of the published and grey literature on interventions aimed at improving healthcare providers’ capacities of prevention and treatment of FGM (1995–2015). Outcomes observed were knowledge and attitudes about FGM, medicalization, and prevention.ResultsOnly two studies met our inclusion criteria. They reported on educational interventions aimed at increasing caregivers’ knowledge on FGM. One was conducted with 59 providers, in Mali; the other one with 11 certified nurse-midwives in the United States. The studies report basic statistics regarding the improvement of healthcare professionals’ knowledge, attitude on FGM and medicalization of the practice. Neither conducted multivariable analysis nor evaluated the training effects on the quality of the care offered, the clinical outcomes and the satisfaction of women attended, and prevention.ConclusionAs health care providers are essential in prevention and treatment of FGM, developing effective interventions is crucial.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-016-1674-1) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Interventions for healthcare providers to improve treatment and prevention of female genital mutilation: a systematic review

Balfour

Abdulcadir

Say

et al. 2016

BMC Health Serv Res

Self Cite

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“…In a study in Eastern Sudan, only 7% of midwives could identify the four types of FGM/C correctly, whereas 81% had practiced the procedure, and in Alexandria, only 7% of nurses could identify the types; in both studies there was little knowledge among these practitioners regarding the medical consequences of the procedure and the majority planned to continue the practice . Similar findings have been reported in diaspora countries; therefore, it behooves ICS members to be aware of the condition and to be prepared to identify and care for these patients . As mentioned above, women who have experienced FGM/C may not know what unaltered anatomy looks like, what type of FGM/C they have personally experienced, and the current symptoms may be so remote from the FGM/C that they do not associate the cause and effect …”

Section: Introductionmentioning

confidence: 66%

International continence society white paper regarding female genital mutilation/cutting

Payne

Abdulcadir

Ouédraogo

et al. 2019

Neurourology and Urodynamics

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Female genital mutilation/cutting (FGM/C)—also known as Female Genital Cutting or Mutilation—is defined as the partial or total removal of the female external genitalia for non‐therapeutic reasons. This White Paper, prepared under the auspices of the International Continence Society (ICS), is intended by the ICS as a statement promoting the abandonment of this practice. The ICS also supports the respectful and evidence‐based care or treatment of women and girls already affected by FGM/C, in keeping with the World Health Organization (WHO) Guidelines on the Management of Health Complications from Female Genital Mutilation. Our members specialize in pelvic floor disorders from perspectives within a range of specialties; we encounter and treat women living with FGM/C and its consequences—particularly incontinence, infections, voiding dysfunction, sexual dysfunction, chronic pelvic pain, and obstetric trauma. Understanding the ethical, sociocultural, medical and surgical factors surrounding FGM/C is central to caring for women and girls with a history of FGM/C. The ICS voices herein state strong opposition to FGM/C. We encourage members to apply their skills to improve prevention strategies and the management of those affected.

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“…Despite the fact that WHO has categorized FGM into four types, with some types associated with more adverse complications than others, clinicians, textbook authors, and researchers use these different terms synonymously. This discrepancy can result in substantial (yet preventable) difficulty in the accurate diagnosis and care of patients who have undergone FGM …”

Section: Discussionmentioning

confidence: 99%

A survey of honor‐related practices among US obstetricians and gynecologists

Moaddab

McCullough

Chervenak

et al. 2017

Intl J Gynecology & Obste

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Missed opportunities for diagnosis of female genital mutilation

Abstract: Opportunities to identify FGM are frequently missed. Measures should be taken to improve FGM diagnosis and care.

Cited by 37 publications

References 16 publications

Interventions for healthcare providers to improve treatment and prevention of female genital mutilation: a systematic review

Interventions for healthcare providers to improve treatment and prevention of female genital mutilation: a systematic review

International continence society white paper regarding female genital mutilation/cutting

A survey of honor‐related practices among US obstetricians and gynecologists

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